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Discover how starting dialectical behavior therapy (DBT) therapy can support your own journey toward a happier, more fulfilling life.
I believe therapy is a space for connection, healing, and growth; one we can build together....
About
I believe therapy is a space for connection, healing, and growth; one we can build together.
I am a Licensed Clinical Social Worker with 4 years of experience and a passion for supporting adults navigating depression, anxiety, PTSD, relationship challenges, mood and personality disorders, medical concerns, and substance use. My compassionate and collaborative approach is tailored to each individual’s needs. I have experience working with diverse populations, including sex workers, the LGBTQIA+ community, and individuals seeking gender-affirming care. Through a goal-oriented, solution-focused lens, I help clients feel heard, supported, and empowered to create meaningful change.
I earned my Master’s in Social Work from Barry University and have experience as a medical social worker and therapist. I incorporate evidence-based approaches such as cognitive behavioral therapy, dialectical behavior therapy, solution-focused therapy, internal family systems, psychodynamic therapy, and mindfulness.
I believe everyone deserves accessible care that begins with connection. My goal is to help clients create lasting change by identifying their strengths and developing practical skills that empower them to navigate life’s challenges and reach their goals.
Education and training
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It is difficult to admit that you need help. My work begins with a focus on the therapeutic alliance, as it is crucial in fosterin...
It is difficult to admit that you need help. My work begins with a focus on the therapeutic alliance, as it is crucial in fostering open communication.
Rachel Spiller is a Licensed Mental Health Counselor with 14 years of experience in the field of mental health counseling, treating both adult and adolescent clients diagnosed with a multitude of psychiatric disorders including bipolar disorder, schizophrenia, major depressive disorder, substance use disorder, and many others. She is passionate about helping clients build a life worth living. Rachel utilizes evidence-based techniques to support clients in building self-esteem and gaining coping skills as they learn to manage depression, anxiety, ADHD, and life transitions.
Rachel is well-trained in a variety of evidence-based interventions including CBT, DBT, motivational interviewing, and many others. Rachel encourages clients to focus on maximizing personal strengths to overcome struggles and build self-esteem. She encourages her clients to take a proactive role in their treatment as they look forward to a healthier future.
Real change starts with small changes every day. Rachel looks forward to supporting you as you build your self-esteem, identify pathways of change, and look to add greater fulfillment to your life. If you are ready to learn how to optimize your strengths and live a more mindful life, schedule an appointment with her today!
Rebecca is a Licensed Marriage and Family Therapist (LMFT) and Licensed Attorney with over 20 years of experience in high conflict...
Rebecca is a Licensed Marriage and Family Therapist (LMFT) and Licensed Attorney with over 20 years of experience in high conflict divorce cases involving the needs of minor children.
From the beginning, Rebecca has always been focused on meeting the needs of kids to serve their best interests. She specializes in issues related to parenting, LGBTQIA+, gender identity, gender dysphoria, anxiety, panic disorder, life and marital issues.
One of the first people to graduate Cornell University with a newly created minor in LGBT Studies, Rebecca has always been an advocate for and an ally to the LGBTQ+ community. Rebecca utilizes tools from dialectical behavior therapy (DBT), solutions-focused behavioral therapy (SFBT), and a narrative approach in helping her clients. As a Jewish divorced mom of two awesome kiddos, I focus my work on the practical and achievable steps towards improvement in your day-to-day life, which will ultimately translate to new and better experiences overall.
Rebecca finds great joy and personal satisfaction in helping her clients seek new function and practical solutions to improve their life experiences.The journey of life is not a sprint, but a marathon. And the journey of a thousand miles begins with a single step. If you are ready to take your first steps towards something better, Rebecca will be there to help you find your way.
You deserve dedicated time with a mental health professional — it can be life-changing.
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My go-to approach for helping people in dialectical behavioral therapy is to introduce them to workings of their own mind, explain the mechanics of heightened emotional responses, and help them have compassion for themselves. When my clients find space for self-empathy, then they can also find a place to begin feeling better in a whole new way.
I teach the four modules in DBT, including mindfulness skills, distress tolerance skills, emotional regulation skills, and interpersonal effectiveness skills. Some of my favorite tools are TIPP skills, Giving Hands, DEAR MAN, GIVE FAST, and chain analysis.
I know my client is making meaningful progress when they report to me that they are applying their skills and seeing a reduction in their feelings of anxiety or depression when they use their skills.
Clients can supplement their time in DBT therapy by seeking an opportunity each day to be mindful and non-judmental of their own thoughts and feelings. It only has to be 5 minutes a day to begin to see change.
To prepare for their first DBT session, someone can take three deep breaths. DBT is not scary. DBT is a chance to learn, in a simple and effective way, how to feel better in almost every situation you find yourself in.
At Thriveworks, Dialectical behavior therapy (DBT) primarily concentrates on assisting individuals in emotion regulation, enhancing interpersonal relationships, and acquiring effective coping strategies for managing stress and emotional difficulties.
Dialectical behavior therapy (DBT) targets your personal challenges. You may work with your DBT therapist to maintain diary cards to monitor progress, emphasizing validation and support in the therapeutic relationship. DBT follows a stage-based approach, prioritizing crisis reduction initially and life satisfaction.
DBT was initially developed to address the needs of individuals with borderline personality disorder (BPD). However, its versatile approach has enabled its application to a wide range of mental health conditions, including but not limited to, anxiety, depression, stress, and anger issues.
The 4 pillars of DBT are mindfulness, emotion regulation, interpersonal effectiveness, and distress tolerance.
Dialectical behavior therapy (DBT) and eye movement desensitization and reprocessing (EMDR) have distinct purposes and aren’t inherently superior or inferior to one another. DBT is most effective for managing emotional regulation, personality disorders, and interpersonal challenges, while EMDR is specifically tailored for individuals with trauma-related conditions like post-traumatic stress disorder (PTSD).
Dialectical behavior therapy (DBT) with therapists at Thriveworks in Boca Raton, FL is conducted both in person and online by video. We encourage you to choose the option that works best for you.
The duration of a standard DBT program is typically around 24 weeks, which is roughly six months. The actual number of sessions will vary depending on the issues you wish to address.
Includes individual, couples, child/ teen, & family therapy
Includes reducing symptoms with medication & management
Thriveworks Counseling & Psychiatry Boca Raton is located in the Atrium at Broken Sound near North Federal Highway and Bailey Street,. It is close to the Atlantic Dunes Park and near the Florida Atlantic University.
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